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Contact Information

SAMUEL D BEITLER, DPM
795 AQUAHART RD
#125
GLEN BURNIE, MD21061-3962
 Phone: 410-768-0702
 Fax: 410-768-0649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SAMUEL D BEITLER · (Male)

NPI Number 1467454843
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/15/2005
Last updated 12/14/2010 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 445
  • MD Medicaid 602368100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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